MEDICARE: ACTS RETIREMENT-LIFE COMMUNITIES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	313M00000X	Nursing Facility/Intermediate Care Facility	12460962	FL
2	314000000X	Skilled Nursing Facility	12460962	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	K2B	OTHER		BLUE CROSS

General Provider Information

NPI Number	:	1174563951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACTS RETIREMENT-LIFE COMMUNITIES INC

Provider Business Mailing Address
First Line	:	420 DELAWARE DR
Second Line	:
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-2711
Country	:	US
Telephone Number	:	215-661-8330
Fax Number	:	215-661-8316

Provider Business Practice Location Address
First Line	:	2250 INDIAN CREEK BLVD W
Second Line	:	INDIAN RIVER ESTATES EAST
City	:	VERO BEACH
State	:	FL
Zip	:	32966-1395
Country	:	US
Telephone Number	:	561-562-7400
Fax Number	:	772-778-7747

Authorized Official
Title or Position	:	SVP, CFO
Name	:	SUSAN AHERN
Credential	:
Telephone Number	:	215-661-8330

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	02/20/2024

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Directions to “ACTS RETIREMENT-LIFE COMMUNITIES INC ” Practice Location

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